IHI vs MDEV: which is really different?

IHI and MDEV hold 30% of their weight in the same names, and MDEV returned +4.1% over the year. iShares U.S. Medical Devices ETF and First Trust Indxx Medical Devices ETF.

88.0%
IHI in the S&P 500
47.3%
MDEV in the S&P 500
−14.4%
IHI total return, 1 year
+4.1%
MDEV total return, 1 year
IHI · 1 year to Sep 30, 202612% of its weight is outside the S&P 500
12% of its weight is outside the S&P 50088% of IHI's weight is in S&P 500 companies and 12% is outside the index88%12%of its weight in S&P 500 companiesoutsideactive share 99% · top ten 76% of the fund · 54 holdings filed Sep 30, 2026 · Nasdaq-100: 28% in12% of its weight is outside the S&P 50088% of IHI's weight is in S&P 500 companies and 12% is outside the index88%12%of its weight in S&P 500 companies12% of its weight outside the S&P 500active share 99% · top ten 76% of the fund

88% of IHI's weight is in S&P 500 companies and 12% is outside the index

MDEV · 1 year to Sep 30, 202653% of its weight is outside the S&P 500
53% of its weight is outside the S&P 50047% of MDEV's weight is in S&P 500 companies and 53% is outside the index47%53%of its weight in S&P 500 companiesof its weight outside the S&P 500active share 98% · top ten 28% of the fund · 54 holdings filed Sep 30, 2026 · Nasdaq-100: 6% in53% of its weight is outside the S&P 50047% of MDEV's weight is in S&P 500 companies and 53% is outside the index47%53%in the S&P 500outside the S&P 500active share 98% · top ten 28% of the fund

47% of MDEV's weight is in S&P 500 companies and 53% is outside the index

ETFIQ Off-Index Score · IHI scores higherHow much of it is not the index it is sold as an alternative to?
0.1, the lowest in this set92.0, the highest

A percentile among the 375 thematic ETFs with a holdings filing. It is a position in a set, not a rating, and neither end of it is a recommendation. All thematic ETFs ranked by it → How it is computed →

What they hold in common

By the books each fund has filed, IHI and MDEV hold 30% of their money in the same securities at the same weight. Above 50%, holding both is close to holding one of them twice. Holdings dated Sep 30, 2026.

half

30% in common

Positions both hold, largest shared weight first
Holding IHI MDEV
DEXCOM INC 4.55% 2.54%
BECTON DICKINSON 4.49% 2.18%
EDWARDS LIFESCIENCES 4.52% 2.09%
ABBOTT LABORATORIES 17.77% 1.86%
MEDTRONIC PLC 11.47% 1.86%
RESMED 4.46% 1.82%
ZIMMER BIOMET HOLDINGS 2.37% 1.80%
STERIS 2.86% 1.78%
PENUMBRA 1.75% 1.81%
BAXTER INTERNATIONAL 1.74% 2.64%
INTUITIVE SURGICAL 14.92% 1.69%
GE HEALTHCARE TECHNOLOGIES 4.13% 1.68%
Only in IHI
IDEXX LABORATORIES 4.58%
GLAUKOS 1.35%
INTEGER HOLDINGS CORP 0.60%
ENVISTA HOLDINGS 0.53%
IRHYTHM HOLDINGS INC 0.52%
ATRICURE 0.40%
TRANSMEDICS GROUP 0.40%
AXOGEN 0.34%
Only in MDEV
Revvity, Inc. 3.21%
WuXi AppTec Co., Ltd. (Class H) 3.13%
Demant A/S 2.84%
Agilent Technologies, Inc. 2.82%
West Pharmaceutical Services, Inc. 2.71%
Waters Corporation 2.58%
Sysmex Corporation 2.56%
Bio-Rad Laboratories, Inc. (Class A) 2.54%

Weight overlap is an ETFIQ calculation: for every security both funds hold, the smaller of the two weights, summed.

30% of the two portfolios are the same securities at the same weight.

Performance, window by window

Total returnvs the S&P 500vs the Nasdaq-100
WindowIHIMDEVIHIMDEVIHIMDEV
3 months+2.5%+7.3%0.0 pts+4.8 pts+0.4 pts+5.2 pts
6 months−4.0%+8.8%−20.9 pts−8.2 pts−30.8 pts−18.1 pts
1 year−14.4%+4.1%−30.2 pts−11.6 pts−38.2 pts−19.7 pts
3 years+6.9%+15.2%−78.0 pts−69.8 pts−103.0 pts−94.8 pts
Since launch
IHI Jan 2010 · MDEV Jun 2021
+519.6%−17.7%−285.0 pts−111.3 pts−1217.9 pts−137.1 pts

IHI and MDEV over each window. Every figure is an ETFIQ calculation with distributions reinvested. Source: ETFIQ. Open the live comparison on ETFIQ →

On the same fields

IHI
iShares U.S. Medical Devices ETF · Holds 54 stocks in therapeutics and medical devices, 88% of its weight in S&P 500 companies
MDEV
First Trust Indxx Medical Devices ETF · Holds 54 stocks in therapeutics and medical devices, 47% of its weight in S&P 500 companies
Issuer iShares First Trust
Theme Therapeutics and medical devices Therapeutics and medical devices
In the S&P 500 88.0% 47.3%
Active share vs the S&P 500 98.7% 98.0%
In the Nasdaq-100 28.2% 5.9%
Holdings 54 54
Top ten, share of the fund 75.7% 27.6%
Expense ratio 0.37% 0.70%
Fee for the differing part 0.37% 0.71%
Total return, 1 year −14.4% +4.1%
vs the S&P 500 −30.2 pts −11.6 pts
vs the Nasdaq-100 −38.2 pts −19.7 pts
Below its high −22.0% −25.9%
Net assets $3.4bn $3m

IHI and MDEV on the same fields, as of Sep 30, 2026. Source: ETFIQ.

IHI in plain words

By weight, 88% of IHI's portfolio is stocks that are also in the S&P 500; its active share against the S&P 500 is 99%. The top ten holdings are 76% of the fund across 54 positions, as published by its issuer for Sep 30, 2026. Over the year to Sep 30, 2026 the fund returned −14.4% with distributions reinvested against +15.7% for the S&P 500, so a holder was behind by 30.2 pts. It sits 22.0% below its all-time high of Sep 8, 2021.

MDEV in plain words

By weight, 47% of MDEV's portfolio is stocks that are also in the S&P 500; its active share against the S&P 500 is 98%. The top ten holdings are 28% of the fund across 54 positions, as published by its issuer for Sep 30, 2026. Over the year to Sep 30, 2026 the fund returned +4.1% with distributions reinvested against +15.7% for the S&P 500, so a holder was behind by 11.6 pts. It sits 25.9% below its all-time high of Sep 7, 2021.

Questions people ask

Do IHI and MDEV hold the same stocks?
By their latest filings, 30% of their books are the same securities at the same weight, which is a meaningful overlap. Overlap is the sum of the smaller weight of every security they share.
Which is more different from the S&P 500, IHI or MDEV?
IHI has 88% of its weight in S&P 500 names and MDEV has 47%, so IHI differs more from the index.
Which is cheaper, IHI or MDEV?
IHI charges 0.37% a year and MDEV charges 0.70%, so IHI is cheaper. Fees come from each fund's prospectus.
Cite this page

ETFIQ, IHI against MDEV, data as of Sep 30, 2026. https://etfiq.com/compare/themes/ihi-vs-mdev

Open data

Free to use with attribution. Every figure is calculated from a named public source; the method is at etfiq.com/methodology.